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Dec 14, 2012
12/12
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regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose their business. mr. smith, are you aware of this provision? >> i am not familiar with that section. >> let me ask you this. in this provision, you may not know this either, but the word quality is not defined in the statute. it is safe to assume that the secretary, not just secretary sebelius, but every secretary to follow, would be able to define for regulation what that word quality means. yes or no? >> i believe that is the correct interpretation. again, we have tried to introduce quality performances into a variety of parts of our programs, both in managed care, both in the fee-for-service world, and t
regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose...
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Dec 8, 2012
12/12
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implementing the aca is important in terms of delivery reforms. it pays doctors differently. it rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone through a really big debate about finding a way to have all americans have health insurance. that is taking a group of americans and figure out how they afford health coverage. that shifts the costs of subsidies and they go into the exchange. does makes it more expensive for younger people because the older cohort is in that group? for medicare, these are the least expensive seniors we have. the most expensive seniors are much older. you have to look exactly at the consequences and whether that is cost savings for government and families? >> the president had a firm statement this week to the business roundtable about the debt ceiling where he said, i will not play that game. he will not negotiate for conditio
implementing the aca is important in terms of delivery reforms. it pays doctors differently. it rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone through a really big debate about finding a way to have all americans have health insurance. that is taking a group of...
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Dec 14, 2012
12/12
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there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will not be coordinated with other welfare programs creating eligibility verification issues. the mandate says we use the correct coding issues. pennsylvania already performed this task through claim check, a federally approved system that cost pennsylvania $12 million to develop. the new system will be micromanaged by the federal government. the ac man it's we create new transaction methods for verification. our technology is more advanced than what is mandated and nobody
there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor-...
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Dec 7, 2012
12/12
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and i also look optimistically at justice roberts who in the aca decision shows us he cares about the court's legacy. he doesn't want to be part of a decision that later people look book on and say he was part of taking away people's liberty. right now i am not optimistic about what this court will do. >> we've had one optimistic, one pessimistic. michelle, don't i dare sit on the fence. >> no, no. i'm off the fence. okay. i will say i agree that the court's composition should make some people nervous but i think the timing, they just had gay marriage wins at the ballot box and there has been a sea change among the electorate on this issue and it would be a little bit troublesome for the court to then at this point step in and say, no, no, we know the country is moving in this direction but we're going to stop you. >> indeed, michelle, you have actually written yourself that the president's base in a second term wants the repeal of the defense of marriage act. you've written that yourself. >> they think it's time, and they think that they've had enough wins and the kind of wind is at
and i also look optimistically at justice roberts who in the aca decision shows us he cares about the court's legacy. he doesn't want to be part of a decision that later people look book on and say he was part of taking away people's liberty. right now i am not optimistic about what this court will do. >> we've had one optimistic, one pessimistic. michelle, don't i dare sit on the fence. >> no, no. i'm off the fence. okay. i will say i agree that the court's composition should make...
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the attention now needs to be on medicare inside the aca. there were large structural reforms in the way healthcare was playing out. in fact, last year, we had a slower rate of growth and health care spending that we have had in quite a time. whether president has proposed is part of the current negotiations is another $300 billion cut in medicare. stuart: that is a cut. you do understand, that what we really -- >> stuart, that just is not true. we have not seen them play out. certainly, we will have to be coming back every year. usually, through a committee process where people vote at the end of the day. the republicans decided to take another course around the debt ceiling. i do not agree with you. i think to say otherwise is unfair to the president. stuart: i will have the last word. he is a hypocrite. let's not get into it now. you study up on that one, young simon. thank you very much. several states want longer school days. surprise, surprise, the unions are against it. that is next. ♪ only gaviscon® forms a protective barrier that
the attention now needs to be on medicare inside the aca. there were large structural reforms in the way healthcare was playing out. in fact, last year, we had a slower rate of growth and health care spending that we have had in quite a time. whether president has proposed is part of the current negotiations is another $300 billion cut in medicare. stuart: that is a cut. you do understand, that what we really -- >> stuart, that just is not true. we have not seen them play out. certainly,...
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Dec 19, 2012
12/12
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last week we designated on the front of the ail yes, sir of aca i which is already listed as a foreign terrorist terrorist organization. as they try to wrap themselves in the legitimate sei of the we called it a warning to support the opposition to the syrian people and not help the terrorist group. to add to the list of new challenges, in west africa the loosely organized of collection of factions who have some ties to -- public sympathy. the number in sophistication to the attacks increasing and while the group focusing principally on local nigeria issues -- iranian revolutionary guard and teheran's ally hezbollah. in addition to the critical support that hezbollah are providing for serious assad regime, over the past year, there's been a significant escalation in iranian-backed terrorism. hezbollah's activity has reached an tempo unseen since the 1990s with the attacks plottedded in southeast asia, europe, and calf with a. it appears they carried out an attack in bull gear ya with the airport bombing in july. the forces saw to attack in georgia, india, thailand, and most brazenly he
last week we designated on the front of the ail yes, sir of aca i which is already listed as a foreign terrorist terrorist organization. as they try to wrap themselves in the legitimate sei of the we called it a warning to support the opposition to the syrian people and not help the terrorist group. to add to the list of new challenges, in west africa the loosely organized of collection of factions who have some ties to -- public sympathy. the number in sophistication to the attacks increasing...
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Dec 11, 2012
12/12
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in terms of health care costs related to the aca, while most business leaders that we have spoken to have said is they understand we needed to do something. small-business owners are impacted disproportionately by rising health-care costs. the current health care plans work for them less well than they do for larger companies because they don't have buying power. if you look at some of the reforms, you see a number of efforts to try to reduce costs for small businesses to, like creating exchanges, for example. small in 2011, small businesses paid 25% more for insurance than large companies. the exchange is meant to help small business. you are right. with the new regulations set to take effect in a couple of years, it is another reason to be careful and protect small businesses from tax increases. what the obama people will tell you is that they have cut taxes for small business 17 times and 90% of the small businesses in america would not be effected by higher individual taxes. host: here is "the miami herald" this morning. pennsylvania. independent caller. caller: he said it earlie
in terms of health care costs related to the aca, while most business leaders that we have spoken to have said is they understand we needed to do something. small-business owners are impacted disproportionately by rising health-care costs. the current health care plans work for them less well than they do for larger companies because they don't have buying power. if you look at some of the reforms, you see a number of efforts to try to reduce costs for small businesses to, like creating...